• J. Cardiothorac. Vasc. Anesth. · Feb 2019

    Review

    Heparin-Induced Thrombocytopenia: A Review for Cardiac Anesthesiologists and Intensivists.

    • Natalia S Ivascu, Meghann Fitzgerald, Kamrouz Ghadimi, Prakash Patel, Adam S Evans, Lee A Goeddel, Shaz Shaefi, John Klick, Angela Johnson, Jesse Raiten, Jiri Horak, and Jacob Gutsche.
    • Department of Anesthesiology, Weill Cornell Medicine, New York, NY.
    • J. Cardiothorac. Vasc. Anesth. 2019 Feb 1; 33 (2): 511-520.

    AbstractPatients undergoing cardiovascular surgery may be exposed to heparin before surgery, during cardiopulmonary bypass (CPB), or in the immediate postoperative period. For this reason, cardiovascular surgery patients are at increased risk for heparin-induced thrombocytopenia (HIT), occurring in 1 to 3% of patients. The diagnosis of HIT can be difficult, if based solely on the development of thrombocytopenia, because cardiac surgical patients have multiple reasons to be thrombocytopenic. Several clinical scoring systems have been developed to reduce unnecessary testing and better define the pretest probability of HIT, which we will review in detail with a diagnostic algorithm. In addition, we will cover the prevention and treatment HIT.Copyright © 2018 Elsevier Inc. All rights reserved.

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